CAMERON ROSS WOODWARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

CAMERON

Middle

ROSS

Last Name

WOODWARD

Business Name

CAMERON ROSS WOODWARD

Original Issue Date

05/06/2022

Effective Date

05/06/2022

Expiration Date

09/30/2024

City

MESA

State

Zip

85206

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025